兰州市2004-2009年法定传染病网络直报信息质量评价

目的对兰州市2004-2009年法定传染病网络直报信息质量进行评价,为进一步提高报告信息质量提供科学依据。方法利用《疾病监测信息报告管理系统》监测数据,运用SPSS 11.5软件对网络报告信息质量进行综合评价。结果 2004-2009年兰州市共报告法定报告传染病报告卡164 973张,未及时报告29 142张,未及时审核5 424张,无重卡,无零缺报县（区）;未及时报告率为17.66%,未及时审核率为3.29%;2009年传染病病例从诊断到报告的时间间隔为0.56d,从报告到审核的时间间隔为0.84h;报告质量呈逐年上升趋势;报告质量较好的县（区）为城关区、榆中县,较差的为永登县、西固区。结论 2004-2009年兰州市疫情报告质量逐年提升,但报告质量存在地区不平衡性。医疗机构的迟报是直接影响兰州市网络直报工作的主要因素。因此,要进一步强化各级疾病预防控制机构和卫生监督机构对属地医疗机构传染病报告管理的指导和监督力度。

Quality evaluation of network reports on notifiable infections diseases in Lanzhou,2004-2009

Objective To evaluate the quality of network report information on infectious diseases in Lanzhou from 2004 to 2009,and to provide evidence for the improvement of information quality.Methods The surveillance data were obtained from the Disease Surveillance Information Report Management System.SPSS 11.5 was used for a comprehensive evaluation of the information quality.Results From 2004 to 2009,a total of 164 973 report cards on notifiable infectious diseases were reported,including 29 142 overdue report cards and 5 424 overdue verification cards.No duplicated cards and report-omitted counties were found.The overdue report rate was 17.66%,and overdue verification rate 3.29%.The interval between diagnosis and report of infectious case was 0.56 d,and the interval between report and verification of infectious case was 0.84 h.The report quality was increasing year by year.Higher report quality was observed in Chengguan district、Yuzhong county,and lower quality in Yongdeng county、Xigu district.Conclusion The quality of infectious disease reporting increased from 2004 to 2009 in Lanzhou.However,regional imbalances of reporting still exists.Overdue report by medical institutions has exerted a direct impact on the performance of the direct network report in Lanzhou.It is necessary to further strengthen the management,guidance and supervision of the direct net work report.